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Family practitioner

Patricia Gellasch
INTRODUCTION: Researchers have found that many primary care providers are not following developmental screening recommendations. Few studies exist on the screening behaviors of advanced practice nurses. METHODS: A qualitative descriptive study explored the screening behaviors, skills, and environmental facilitators/constraints of 24 family nurse practitioners (FNPs) who cared for pediatric patients from birth to 5years of age in primary care settings. An inductive approach to content analysis was used to interpret the data...
March 13, 2019: Journal of Pediatric Health Care
Alfried Kohlschütter, Hendrik van den Bussche
The correct and early diagnosis of a rare disease in children is of particular importance in regard to the frequently fateful consequences for young families. Even well-known rare diseases are diagnosed with unacceptable delay in many countries. After decades of studying medical histories with delayed diagnoses and the respective literature, we describe the often severe aftereffects of a late diagnosis. We point out the underlying problems on the part of the physicians involved, of the affected families and of the health system in Germany, in particular with respect to the many emerging centers for rare diseases, most of which are associated with academic institutions...
March 13, 2019: Zeitschrift Für Evidenz, Fortbildung und Qualität Im Gesundheitswesen
Olga Szafran, Sandra L Kennett, Neil R Bell, Jacqueline M I Torti
BACKGROUND: In Canada, most patients with type 2 diabetes mellitus (T2DM) are cared for in the primary care setting in the practices of family physicians. This care is delivered through a variety of practice models ranging from a single practitioner to interprofessional team models of care. This study examined the extent to which family physicians collaborate with other health professionals in the care of patients with T2DM, comparing those who are part of an interprofessional health care team called a Primary Care Network (PCN) to those who are not part of a PCN...
March 13, 2019: BMC Family Practice
Jennifer Rioux, Amy Howerter
OBJECTIVES: To determine the feasibility and acceptability of an Ayurveda/Yoga intervention for weight loss, using dual-diagnosis inclusion criteria, dual-paradigm outcomes, and a semistandardized protocol with tailoring according to the Ayurvedic constitution/imbalance profile of each participant. DESIGN: Seventeen participants enrolled in a weekly intervention for 3 months. Outcome measurements were performed at baseline, postintervention, and 3 and 6 months follow-up...
March 2019: Journal of Alternative and Complementary Medicine: Research on Paradigm, Practice, and Policy
Kylie Gwynne, Jorge Rojas, Monique Hines, Kim Bulkeley, Michelle Irving, Debbie McCowen, Michelle Lincoln
Objective Completion rates in vocational education are typically poor for Aboriginal students (<30%). A scholarship program was designed for Australian Aboriginal students using five enablers of success previously identified for Aboriginal preregistration tertiary nursing students. The purpose of this study was to evaluate whether the five enablers contributed to the success of Aboriginal students in vocational education and whether there were any other enablers. Methods Semistructured interviews were conducted with two groups of Aboriginal students in Certificate III and IV Dental Assisting and Certificate IV in Allied Health Assistance, and their teaching and support staff...
March 14, 2019: Australian Health Review: a Publication of the Australian Hospital Association
Dongmei Pei, Yang Gong, Hong Kang, Chengpu Zhang, Qiyong Guo
BACKGROUND: Prediction or early diagnosis of diabetes is crucial for populations with high risk of diabetes. METHODS: In this study, we assessed the ability of five popular classifiers (J48, AdaboostM1, SMO, Bayes Net, and Naïve Bayes) to identify individuals with diabetes based on nine non-invasive and easily obtained clinical features, including age, gender, body mass index (BMI), hypertension, history of cardiovascular disease or stroke, family history of diabetes, physical activity, work stress, and salty food preference...
March 12, 2019: BMC Medical Informatics and Decision Making
Sameera Mokkarala, Cole Johnson, Souvik Sarkar, Robert J Rudas
The burden of hepatitis C virus (HCV) infection is disproportionately high in U.S. federal and state prisons. This offers a unique opportunity for targeted HCV screening and treatment. New, highly effective, oral direct-acting antiviral (DAA) agents have the potential to eliminate many of the hurdles previously imposed by older interferon-based therapies. However, a relative deficit of providers motivated or empowered to treat HCV, along with a lack of treatment data on use of DAAs in prisons, greatly restricts the ability to treat the prison population...
March 13, 2019: Journal of Correctional Health Care
Pamela M Patrick, Andrea E Reupert, Louise A McLean
Although research on children of parents with mental illness is growing, few researchers have examined the long-term impact of parental mental illness on adult children. This study explored the potential impact of growing up with a parent with a mental illness on the parenting role assumed by adult children. The qualitative study included ten participants, who were individually interviewed using a semi-structured interview schedule. Interpretative phenomenological analysis (IPA) along with member checks were utilised to derive themes from participants' narratives...
March 7, 2019: International Journal of Environmental Research and Public Health
Boubakari Ibrahimou, Ahmed N Albatineh
Quality of life (QOL) is an important indicator of quality of healthcare. Measuring QOL and its correlates for peritoneal dialysis (PD) patients is important for public health policy, intervention, and clinical decision-making. Data from 62 patients treated at 6 dialysis centers were collected using short form (SF)-36. Multiple linear regression was used to assess the relationship between QOL and several covariates. Results indicated most patients were ≥ 60 years old (51.6%), retired (40.3%), diagnosed with end-stage renal disease (ESRD) > 1 year (82...
March 2019: Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis
Sarah Vidal, Christian M Connell, Dana M Prince, Jacob Kraemer Tebes
Multisystem-involved youth are children and adolescents concurrently served in the child welfare, behavioral health, and/or juvenile justice systems. These youth are a high risk and vulnerable population, often due to their experience of multiple adversities and trauma, yet little is known about their multiple needs and pathways into multisystem involvement. Multisystem-involved youth present unique challenges to researchers, practitioners, and policymakers. In this article, we summarize the literature on multisystem-involved youth, including prevalence, characteristics, risk factors, and disparities for this population...
March 2019: Adolescent Research Review
F L Brown, T Mishra, R L Frounfelker, E Bhargava, B Gautam, A Prasai, T S Betancourt
Background: Suicide is a major global health concern. Bhutanese refugees resettled in the USA are disproportionately affected by suicide, yet little research has been conducted to identify factors contributing to this vulnerability. This study aims to investigate the issue of suicide of Bhutanese refugee communities via an in-depth qualitative, social-ecological approach. Methods: Focus groups were conducted with 83 Bhutanese refugees (adults and children), to explore the perceived causes, and risk and protective factors for suicide, at individual, family, community, and societal levels...
2019: Global Mental Health
Kristin M Conway, Katy Eichinger, Christina Trout, Paul A Romitti, Katherine D Mathews, Shree K Pandya
Purpose: To collect information about the needs of families affected by childhood-onset dystrophinopathies residing in the United States. Methods: Individuals with an eligible dystrophinopathy were identified by the Muscular Dystrophy Surveillance, Tracking, and Research network. Between September 2008 and December 2012, 272 caregivers completed a 48-item survey about needs related to information, healthcare services, psychosocial issues, finances, caregiver demographics, and the individual's functioning...
2019: SAGE Open Medicine
Deborah Dumphy, Carolynn DeSandre, Julie Thompson
BACKGROUND: Utilizing skills identified in previous research on successful role transition, this study evaluated the relationship between a strategically designed practicum course and the readiness for role transition to family nurse practitioner (FNP) in graduate nursing students. METHODS: A mixed methods approach evaluated pre- and post-participation survey data for the FNP role preparedness in graduate nursing students in a strategically designed practicum course...
March 10, 2019: Nursing Forum
Val Goodwin, Rose McMaster, Sandra Hyde, Meghan Appleby, Therese Fletcher
This evaluation aimed to explore mental health nurses' experience of one postgraduate (PG) Mental Health Nursing course in Australia. It investigated students' recognition and acquisition of new skills to improve their clinical practice, thereby enhancing consumer and family outcomes. In addition, nurse educators were interviewed to ascertain their impression of the impact of course materials on nursing practice and nurses' confidence in the clinical field. An exploratory qualitative descriptive design was chosen, using semi structured in-depth interviews, to elicit participants' experience of the PG course at completion...
February 19, 2019: Nurse Education in Practice
Valerie R Anderson, Brinn M Walerych
The proportion of girls involved in the juvenile justice system has steadily increased over the last few decades. Previous research has indicated that the presence of girls in the juvenile justice system is often linked to trauma and violence, and the subsequent criminalization of behaviors associated with traumatic experiences. The present study examined qualitative interview data from juvenile court officers (n = 24) in a mid-sized juvenile county court to review the types and extent of trauma experienced by girls and the connection of trauma to juvenile justice trajectories...
March 8, 2019: Journal of Prevention & Intervention in the Community
Jafar Sadegh Tabrizi, Majid Karamouz, Homayoun Sadeghi-Bazargani, Alireza Nikniaz, Leila Nikniaz, Roya Hasanzadeh, Jalal Hanaee, Mostafa Farahbakhsh
Background: For overcoming the existing problems and finding a pathway for realization of universal health care, health complexes were implemented in the form of a pilot project in Tabriz suburban area. Methods: Tabriz Health Complex Project was designed in 2013 in the provincial health center of East Azerbaijan. In terms of execution schedule, this intervention had 4 phases including 1) study phase, 2) planning phase, 3) pilot phase, and 4) implementation phase...
January 2019: Iranian Journal of Public Health
Xiamei Guo
OBJECTIVES: Depressive symptoms and life satisfaction are closely related among the older adults. However, investigation of the dyadic influence of depressive symptoms and life satisfaction among Chinese older married couples is limited. The current study aimed to investigate the reciprocal effects of life satisfaction and depressive symptoms longitudinally among a sample of Chinese older married couples. METHOD: The current sample consisted of 1,877 older married couples from the China Family Panel Studies (CFPS)...
March 8, 2019: Aging & Mental Health
Wayne W Grody
There is no question that the advent of massively parallel ("next-generation") DNA sequencing has thrust Medical Genetics and Molecular Diagnostics into a new era, availing practitioners and patients of a form of genetic testing unprecedented in its scope and comprehensiveness. It has produced impressive diagnostic yield, ended the "diagnostic odyssey" for many patients and families, expanded the known phenotypes of countless disorders, and led to almost weekly new disease gene discoveries...
March 7, 2019: Genetics in Medicine: Official Journal of the American College of Medical Genetics
Karen M Davison, Carla D'Andreamatteo, Sabina Markham, Clifford Holloway, Gillian Marshall, Victoria L Smye
Although research about the unintended consequences of paternal incarceration for family well-being has grown in recent years, there has been minimal exploration of food insecurity. Using qualitative methods, we aimed to understand the relationships between paternal incarceration and family food insecurity in Canada. An ethnographic study (24 months) was conducted that included naturalistic observation and in-depth interviews with formerly incarcerated fathers, their partners, and societal reintegration-focused stakeholders ( n = 63)...
March 4, 2019: International Journal of Environmental Research and Public Health
April A Bice, Diane L Parker
BACKGROUND: In nurse practitioner (NP) programs, NP faculty are responsible for evaluating student progress via clinical site visits. The purpose of this pilot study revolved around investigating the following aims: virtual clinical site visit feasibility, faculty perspectives related to implementing virtual and face-to-face clinical site visits, and exploration of student learning and related experiences with both virtual and face-to-face site visits. METHOD: This mixed-methods pilot study included cross-sectional assessment of faculty and preceptor perspectives, as well as an open-ended qualitative descriptive survey for students...
March 1, 2019: Journal of Nursing Education
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